Lau W Y
Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
World J Surg. 2002 Jun;26(6):748-59. doi: 10.1007/s00268-002-6297-5. Epub 2002 Mar 26.
The history of open surgery for groin hernia has gone through many stages of development, including the ancient era (ancient times to the fifteenth century), the era of the start of herniology (fifteenth to seventeenth centuries), the anatomic era (seventeenth to nineteenth centuries), the era of repair under tension (nineteenth to mid-twentieth century), and the era of tensionless repair (mid-twentieth century to the present). Five principles of modern hernia repair developed through these periods of development: antiseptic/aseptic hernia operation, high ligation of the sac, tightening of the internal ring, reconstruction of the posterior inguinal floor, and tensionless repair. Interestingly, many of the initial attempts at laparoscopic hernia repair did not adhere to the recognized principles of hernia surgery learned from open surgery. It is only when the transabdominal preperitoneal mesh repair and the totally extraperitoneal approach, which adhere to the basic principles, are considered that the results of laparoscopic hernia repair procedures can improve and the recurrence of hernia decrease.
腹股沟疝开放手术的历史经历了许多发展阶段，包括古代（古代至15世纪）、疝科学起始时代（15至17世纪）、解剖学时代（17至19世纪）、张力下修补时代（19世纪至20世纪中叶）以及无张力修补时代（20世纪中叶至今）。现代疝修补的五项原则在这些发展时期逐步形成：疝手术的抗菌/无菌操作、疝囊高位结扎、内环收紧、腹股沟后壁重建以及无张力修补。有趣的是，许多最初的腹腔镜疝修补尝试并未遵循从开放手术中学到的公认疝手术原则。只有当采用遵循基本原则的经腹腹膜前补片修补术和完全腹膜外入路时，腹腔镜疝修补手术的效果才能得到改善，疝的复发率才能降低。
